Public Health

Helen Whately Excerpts

Wednesday 30th December 2020 Commons Chamber

[The Minister for Care (Helen Whately)]

I beg to move,

That the Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020 (S.I., 2020, No. 1518), dated 11 December 2020, a copy of which was laid before this House on 11 December, be approved.

[Madam Deputy Speaker]

With this we shall debate the following motions:

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) (Amendment) Regulations 2020 (S.I., 2020, No. 1533), dated 14 December 2020, a copy of which was laid before this House on 14 December, be approved.

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) (Amendment) (No. 2) Regulations 2020 (S.I., 2020, No. 1572), dated 17 December 2020, a copy of which was laid before this House on 17 December, be approved.

That the Health Protection (Coronavirus, Restrictions) (All Tiers and Obligations of Undertakings) (England) (Amendment) Regulations 2020 (S.I., 2020, No. 1611), dated 20 December 2020, a copy of which were laid before this House on 21 December, be approved.

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) (Amendment) (No. 3) Regulations 2020 (S.I., 2020, No. 1646), dated 24 December 2020, a copy of which were laid before this House on 29 December, be approved.

[Helen Whately]

Before I say anything else, I want to say thank you to all our health and social care workers who have been working day and night through Christmas, Boxing day and the bank holiday. I know that every single one of them is feeling the strain and that they are not just tired but exhausted, having gone not just the extra mile but miles and miles of extra miles. I would also like to thank everyone across the country who has forgone the joy of sharing Christmas with family or friends. We have all missed those precious moments, and I know that this has been particularly painful for those facing what may be the last chance to spend Christmas with a loved one nearing the end of their life. That is why I say thank you to them from the bottom of my heart for what they have done, not so much for their own sake but to protect others.

I would like to take a moment to celebrate the good news of the authorisation of the Oxford-AstraZeneca vaccine for use. Although the development of vaccines is an international collaboration, we should recognise the contribution of the British life sciences sector, which offers the UK a way out of this disease and will make a huge impact on the global response.

[Mr William Wragg (Hazel Grove) (Con)]

Could my hon. Friend confirm the numbers of the AstraZeneca vaccine that are ready to be administered?

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[Helen Whately]

My hon. Friend may well have heard the statement by the Secretary of State for Health and Social Care, after which he answered a large number of questions about the vaccine. As he said, we will be rolling out the vaccine as rapidly as possible, we are poised and ready to start rolling out that particular vaccine as of next week, and it is all about getting the supply of the vaccine in to enable us to do that.

There is light at the end of the tunnel, but we are not there yet. We are here today to debate regulations that increased the restrictions on parts of the country before Christmas, but we also heard the Health Secretary’s statement earlier and know the seriousness of the situation we face despite those greater restrictions. We know that we have just had the highest number of new cases in one day—over 53,000—and in many parts of the country, our hospitals are stretched to the limit. We know we are facing a new variant of covid that is more infectious and spreading rapidly in many parts of the country, so I am in no doubt that we were right to introduce further restrictions when we did.

Before going into the details of the regulations, I will give a brief overview of the measures we are debating. On 2 December, a revised tiering system was introduced following approval of the all-tiers regulations in both Houses. Those have been amended four times. On 14 and 16 December, the all-tiers regulations were amended to move some local authority areas between tiers. Those changes came into force on 16 and 19 December respectively. On 20 December, the all-tiers regulations were amended to introduce a further level of restrictions—tier 4—and to move some local authority areas into that tier and to exclude tier 4 from the Christmas easements. Finally, on 24 December, the all-tiers regulations were amended to move some local authority areas into higher tiers, and some amendments were made to the measures in tier 4.

In addition to those four amendments to the all-tiers regulations, we are debating the Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020, which reduce the self-isolation period for household and non-household contacts from 14 days to 10, based on evidence showing that the likelihood of being infectious as a contact after 10 days is low. That decision was made following advice from UK chief medical officers. To bring English policy in line with other nations in the UK, we now count the start date of this period from the day after exposure, onset of symptoms or a test. Those with covid-19 should continue to self-isolate for 10 days, as per Government guidelines. We have brought the wait time for those switching support or childcare bubbles down to 10 days, in line with those changes.

I know that some hon. Members have previously raised concerns about parliamentary scrutiny, and some may be disappointed that those amendments were made in advance of this debate. However, I am sure hon. Members will also appreciate that this virus does not wait for parliamentary procedure. The situation we faced in the run-up to Christmas, as we identified that the cause of the rapid rise in infections was the new variant, meant that we had to act, and act fast.

[Sir Charles Walker (Broxbourne) (Con)]

The great disappointment felt by many colleagues, who appreciate that the Government are under enormous pressure, is that the House rose on the Thursday, and the decision was made pretty much the next day. It is a great shame that the House was not recalled on the Friday, or possibly even the Saturday before Xmas, to scrutinise the new regulations. That is where the sense of disappointment lies. Most families are more than capable of making the right decisions for their relatives without being instructed to do that in law.

[Helen Whately]

I hear my hon. Friend’s point, and I share his view that throughout this pandemic the vast majority of people have behaved with great responsibility. I know that people in tiers other than tier 4 thought very hard about whether they should gather with relatives, even within the easing that was allowed during the Christmas period, and rightly so. We must all play our part in controlling the virus and stopping its spread.

[Sir Christopher Chope (Christchurch) (Con)]

Will the Minister give way?

[Helen Whately]

I will make some progress.

At the time of these provisions we were seeing an exponential rise in cases in London, Kent, and some other parts of the south-east, and it was clear that the tier 3 restrictions were not sufficient. We identified the existence of a new variant in those areas, and further analysis showed us that the new variant was driving the steep trajectory of infections. The new and emerging respiratory virus threats advisory group—NERVTAG—tells us that the new variant demonstrates a substantial increase in transmissibility, compared with other variants, and that the R value appears to be significantly higher, with initial estimates suggesting an increase of between 0.4 and 0.9.

There is no evidence to suggest that the new variant of the virus is more likely to cause more serious disease, but increased infections lead to increased hospital admissions and, sadly, increased loss of life. These winter months already pose great challenges for our NHS. That is why we had to take the action that we took before Christmas, and the further steps announced today to control the relentless spread of the virus. However, it is not all bad news.

[Sir Christopher Chope]

Will my hon. Friend give way on that point?

[Helen Whately]

I am making some progress and I am mindful that many Members want to speak this evening.

The roll-out of the Pfizer vaccine is happening at pace, with more than 600,000 people receiving it between 8 and 20 December. Vaccinations in care homes started on 16 December, and the NHS has already been getting the vaccine to those who are most vulnerable, and the care workers who look after them. Now, the Oxford-AstraZeneca vaccine has been approved, and it is much easier to get out to people and into arms. There is every reason for optimism, but we are not there yet. We must suppress the virus now and in the weeks ahead.

On the specific measures in these regulations, in response to the greatly increased risk, the addition of tier 4 stay-at-home measures will be familiar to people from the November national restrictions. Tier 4 involves minor changes to those national restrictions. As of November, people in tier 4 areas must stay at home and not travel out of tier 4. They may only leave for a limited number of reasons such as work, education, or caring purposes. We are advising that clinically extremely vulnerable people in tier 4 areas should do as they did in November and stay at home as much as possible, except to go outdoors for exercise or to attend health appointments. The regulations contain the same exemptions as other tiers for childcare and support bubbles. We advise that people elsewhere avoid travelling into a tier 4 area, unless they need to do so for work, education or health purposes.

[Sir Christopher Chope]

Can my hon. Friend help me? Statutory instrument 1572 required the people of Christchurch to move from tier 1 to tier 2, and it came into effect on 19 December. Today, the Secretary of State has announced that the people of Christchurch should be moving into tier 4, with effect from midnight tonight. What has happened between 19 December and today to force the people of Christchurch to lose all that liberty?

[Helen Whately]

One thing that I will do when I have finished speaking is see whether I can look up the specific data for the hon. Member’s constituency. In general, however, the announcements made today, just as with previous announcements, are based on the data that we are seeing, which includes rapidly rising rates of infection in certain areas, the level of new infections, the trajectory and hospital pressures.

The tier 4 regulations require all non-essential retail, indoor entertainment, hairdressers and other personal care services to close. International travel is also restricted to business trips only. However, we have listened to hon. Members and the public about what is most important to people in their daily lives so, unlike in the November restrictions, communal worship and a wider range of outdoor recreation are still permitted. We also recognise the restrictions’ impact on businesses and continue to provide them with ongoing support to help get through the crisis.

We know that these measures are hard. We know that they keep families and friends apart, yet we also know that they are necessary for us to get through this situation and to prevent the loss of lives as we do so. This virus thrives on the things that make life worth living, such as social contact, but that means we can all play our part in stopping the spread—as I said, if not for ourselves, then for others. The end is in sight, but for now it is our duty here in Parliament to put in place these restrictions—onerous though they are—to control this virus. I commend the regulations to the House.

[Madam Deputy Speaker (Dame Rosie Winterton)]

As I said, we will start with a five-minute time limit on Back-Bench Members. I remind hon. Members that, when a speaking limit is in effect for Back Benchers, a countdown clock will be visible on the screens of right hon. and hon. Members participating virtually and on the screens in the Chamber. For right hon. and hon. Members participating physically, the usual clock will operate.

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[Helen Whately]

I thank hon. Members from across the House and those who have contributed virtually for the many truly thoughtful contributions in what has been a really wide-ranging debate this evening. In a moment, I will respond, as far as I can in the time that I have, to many of the points and questions that have been raised.

As I stated at the outset, although we have the truly welcome news of the MHRA approval of the Oxford/AstraZeneca vaccine for use, right now we face a very serious situation. We face rapid rates of covid transmission and new cases of the new variant of the virus. We began to see that before Christmas, when we brought in the measures and the introduction of tier 4, which we are debating today. No Government would want to do what we are having to do, which is to put such restrictions on people’s lives, but, as many hon. Members have recognised in their speeches, we see the pressures on the NHS and know that rises in infections and rises in hospital admissions very sadly lead to loss of life. We also know the implications of those pressures on the NHS not only for those with covid, but for those needing treatment for other illnesses. The alternative to taking measures to suppress the virus is unthinkable. These decisions are not easy to make, but the data is clear, including on the additional infectiousness of the new variant.

Some hon. Friends asked why their constituencies had been moved up tiers either in the past couple of weeks or today and sometimes moving at some pace from a low tier to as far up as tier 4. The reason is that a combination of the epidemiological evidence and hospital pressures, looking at the five criteria that we have set out, makes it clear that that is what needs to happen. I remind my hon. Friends of the five criteria. We look at the case rates for all ages, the case rates for over-60s—which particularly translate into hospital admissions—the change in the case rate, the positivity rate and pressures on hospitals such as occupancy rates and the trajectory of those. Looking at that dataset, it is clear when action is needed.

[Mr Harper]

Can I look into that point a bit? I thank the Opposition spokesman for giving us so much time to deal with the things we did not have time to deal with in our limited remarks. On the point about looking at the data—I listened carefully to a number of colleagues, and I had this in my constituency—I genuinely do not understand how my constituency was put into tier 3 starting at midnight on Boxing day, and after only three days had elapsed a decision was taken to move it to tier 4. What data had changed? Nothing significant happened between those two dates. Other colleagues went through three tiers in a matter of days. The problem is that that does not engender confidence among our constituents that the decisions are being taken for understandable reasons. Will the Minister say a little bit more about the decision-making process so that we can take that back to our constituents to try to give them a little more confidence?

[Helen Whately]

Something that I can say to give my right hon. Friend some extra insight is that, for instance in introducing the latest measures, one of the things that we saw was a rapidly changing situation. During the national lockdown and the weeks following that, there was some puzzling about what was going on. We were seeing a large increase in the case rate in the south-east, especially in Kent and part of my constituency. What we came to investigate and understand was the new variant playing its part in that. It is the data that tells us that we need to make an urgent change, for instance in the tier that an area is in.

I have one very specific example that I want to give, not in relation to my right hon. Friend’s constituency but in response to the question that my hon. Friend the Member for Christchurch (Sir Christopher Chope) asked about why his constituency had changed tier and what had happened in the period that we are talking about. I can tell my hon. Friend the Member for Christchurch—he is not in his place, but I hope that he is listening remotely—that we saw a 68% increase in the case rate in his area of the country between 17 and 23 December, as well as a rapidly rising rate in the over-60s and a rising positivity rate. That is the kind of story that tells us that we need to take rapid action.

My right hon. Friend the Member for New Forest West (Sir Desmond Swayne) also questioned the timing of the introduction of the new measures, and I can tell him that we saw the number of cases increasing fast—both cases and hospital admissions. There was quite simply no time to waste. The analysis was clear that that was driven by the new variant.

Some hon. Members have questioned the effectiveness of the measures. My hon. Friend the Member for Thurrock (Jackie Doyle-Price) spoke about her area now having the highest case rate in the country—something I can relate to because part of my constituency previously had the highest case rate in the country—and it is not a reason why you want your area to be famous.

In the parts of Kent that were hit hardest with the new variant a few weeks ago, we are now seeing some stabilisation in rates. I should warn that that is at a relatively high level. It is also very soon after the introduction of tier 4—just 10 days ago—for us to see its full effect. We and everyone living in those areas can play their part in making sure that the restrictions work. My hon. Friend the Member for Aylesbury (Rob Butler) said to us on the screen that he had one simple message, which was to follow the rules. The virus thrives on social contact and the restrictions reduce that, and the Government will of course continue to keep these measures and their effectiveness under review.

Many hon. Members spoke up for businesses in their constituencies, and I absolutely recognise the huge challenges that the pandemic has placed on many businesses in some sectors such as hospitality and tourism and travel in particular. We have, of course, sought to protect livelihoods as well as lives. We have spent over £280 billion this year to support businesses and individuals. That includes extra support for higher tiers, recognising the extra costs incurred in those areas. I have no doubt that my honourable colleagues in the Treasury will be taking note of many of the arguments made by colleagues today.

[Mr Harper]

Will my hon. Friend give way?

[Helen Whately]

May I make a little progress? I did take an intervention from my right hon. Friend a moment ago, and I am trying to respond to the many points made in the debate.

My right hon. Friend the Member for South West Wiltshire (Dr Murrison) rightly referred to the unpredictability of this virus, and to how it does not follow due process, as we have seen with the new variant. Unlike many mutations, which are normal things that occur with a virus, this variant has changed the behaviour of the virus. As my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) said, thanks to the UK’s world-leading virus surveillance capability, we were able to detect and analyse the spread of this new strain. We know that it is most evident in the areas with exponential rises in cases at the moment, and those are the areas that have been placed in tier 4, either before Christmas or with the announcements today.

Many hon. Members spoke about the vaccination programme, and they welcomed the good news about the Oxford/AstraZeneca vaccine. Some hon. Friends even sought to change the way we describe the vaccine, by claiming it for their own constituencies. The hon. Member for Strangford (Jim Shannon) said that the vaccine has put a spring or a skip in his step, which I know that Members around the House will welcome.

The NHS has done a brilliant job of already vaccinating more than 600,000 people with the Pfizer-BioNTech vaccine, and with the opportunity to now bring into play the Oxford/AstraZeneca vaccine, we are driven and committed to its rapid roll-out. We have secured 100 million doses, and the NHS stands ready to deploy them from next week. We have an infrastructure of hospital hubs, GPs, vaccination centres and pharmacies ready to play their part and, as my right hon. Friend the Member for South West Wiltshire said, they will be drawing on a workforce that includes volunteers from among our fabulous NHS returners, who stepped forward to offer their help to the NHS during the pandemic.

[Mr Harper]

The Minister is being generous in giving way. I wish to ask about one issue that cropped up today at the Prime Minister’s press conference, and something that Professor Van-Tam said about what we do and do not know about the vaccine’s ability to reduce the transmission of the virus. My understanding is that once we have vaccinated those who are at most risk, and reduced the risk of people dying or being hospitalised, we will then be in a much better place. He seemed to imply that if the vaccine does not reduce the transmission of the virus, that will somehow prolong the restrictions we have to keep in place, but I do not follow why that would be. Can the Minister clarify the Government’s position on that? I think that once we have vaccinated the at-risk groups, we can remove the restrictions. Am I wrong?

[Helen Whately]

I do not think that now is the moment for me to hold a remote debate on that with the deputy chief medical officer, and my right hon. Friend also asks me to see into the future regarding the roll-out of the vaccine. I can say, however, that we are following the prioritisation as set out by Joint Committee on Vaccination and Immunisation. That is first and foremost to vaccinate those who are at greatest risk of losing their lives to covid, and that is why we are starting with residents in care homes, which have been so hard hit by the pandemic, as well as care home workers. The next priority category is those who are over 80 and broader health and social care workers, and it then moves down the ages. Our approach follows the JCVI prioritisation to put the vaccine to that crucial and important effect of saving people’s lives from this cruel disease.

The hon. Member for Nottingham North (Alex Norris) asked about the publication of JCVI advice on the use of the vaccine. I can tell him that it has already been published and is available on gov.uk.

[Steve Brine]

I want to get clarity on the point made by my right hon. Friend the Member for Forest of Dean (Mr Harper). If the reason for the restrictions on our constituents’ lives is to prevent people from getting infected, getting very sick and being hospitalised, and thereby to protect the NHS, once we have vaccinated the people who could get very sick and use the NHS, we will no longer have the problem of protecting the NHS, so we should be able to lift the restrictions. Even if the Minister cannot clarify that that is the Government’s position, does it not seem like the logical consequence, or am I just completely daft?

[Helen Whately]

I am being counselled not to respond to my hon. Friend’s description of himself. I do not think I should be drawn into speculation on the roll-out and what we face ahead of us. He will have heard the good news from the Secretary of State earlier that we have an additional vaccine that we can use and that the NHS is ready and poised to roll out at great pace. We are determined to do so. That is so important, as it means that we have hope as we go through this very difficult time.

It was very good to hear so many hon. Members recognise and thank not only NHS staff but those working in social care. Care home workers in particular were mentioned by my hon. Friend the Member for Thurrock, as were the social care workforce more widely. The hon. Member for Twickenham (Munira Wilson) mentioned the mental health of the NHS and social care workforce—something about which I care a great deal. I assure her and others who are concerned about this matter that we have put in place extra mental health support for frontline NHS and social care workers, including specialist helplines that are available 24/7 so that there is always someone they can call.

In conclusion, as we go about our lives under these restrictions, we must remember the pressure the pandemic puts on that workforce. I once again thank the public for all playing their part and for the sacrifices they are making for themselves, but especially for others. The end is in sight, but we have a way to go and we must take the steps necessary to suppress the virus here and now.

Question put and agreed to.

Resolved,

That the Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020 (S.I., 2020, No. 1518), dated 11 December 2020, a copy of which was laid before this House on 11 December, be approved.

Public Health

Resolved,

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) (Amendment) Regulations 2020 (S.I., 2020, No. 1533), dated 14 December 2020, a copy of which was laid before this House on 14 December, be approved.—(Rebecca Harris.)

Resolved,

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) (Amendment) (No. 2) Regulations 2020 (S.I., 2020, No. 1572), dated 17 December 2020, a copy of which was laid before this House on 17 December, be approved.—(Rebecca Harris.)

Resolved,

That the Health Protection (Coronavirus, Restrictions) (All Tiers and Obligations of Undertakings) (England) (Amendment) Regulations 2020 (S.I., 2020, No. 1611), dated 20 December 2020, a copy of which were laid before this House on 21 December, be approved.—(Rebecca Harris.)

Resolved,

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) (Amendment) (No. 3) Regulations 2020 (S.I., 2020, No. 1646), dated 24 December 2020, a copy of which were laid before this House on 29 December, be approved.—(Rebecca Harris.)